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[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Company Name’ type=’text’ required=’1’/][contact-field label=’Address’ type=’text’/][contact-field label=’Phone Number’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Filter Vessel Brand/Model’ type=’text’/][contact-field label=’Filter Media’ type=’select’ options=’Polypropylene, Nylon’/][contact-field label=’Micron’ type=’select’ options=’1,5,10,25,50,75,100,150’/][contact-field label=’Length’ type=’select’ options=’10”, 20″, 30″,40″, 50″, 9-3/4″,19-1/2″,29-1/4″,39″‘/][contact-field label=’Core Material’ type=’select’ options=’No Core,Polypropylene’/][contact-field label=’End Cap Configuration’ type=’select’ options=’None, DOE-Double Open End,222 O-ring & Cap, 222 O-Ring & Fin, 226 O-Ring & Cap, 226 O-ring & Fin, Polypro Core Extender, Poly Spring’/][contact-field label='”O” Ring Material’ type=’select’ options=’Buna, Viton, Silicone, EPR, Teflon, Neoprene’/][contact-field label=’Additional Comment’ type=’textarea’/][/contact-form]